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NPI Code Detail

MEDICARE: TOMIA JEVETTE BOWDEN LMFT

MEDICARE: TOMIA JEVETTE BOWDEN LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist81803CA

General Provider Information

NPI Number : 1750413365
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMIA JEVETTE BOWDEN LMFT
Provider Business Mailing Address
First Line : 44443 10TH ST W
Second Line :
City : LANCASTER
State : CA
Zip : 93534-3346
Country : US
Telephone Number : 661-726-2630
Fax Number : 661-940-3412
Provider Business Practice Location Address
First Line : 44443 10TH ST W
Second Line :
City : LANCASTER
State : CA
Zip : 93534-3346
Country : US
Telephone Number : 661-726-2630
Fax Number : 661-940-3412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 07/25/2019

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